Transcript Understanding Clinics and their Medications Needed

Understanding Clinics and Their
Medications Needed
Learning Objectives
• Follow the process for preparing for a TJC
inspection
• Discuss the need for standardized par levels
when preparing requisition form for individual
clinics
• Prepare educational templates for clinic
personnel
• Understand the procurement process for
clinic-specific materials
CARILION CLINIC
• Carilion operates eight community hospitals and 152 clinic
practices throughout western Virginia
• Central distribution pharmacy
• Two retail pharmacies and soon will be adding two new
locations
• Carilion Roanoke Memorial, the largest hospital, is a level 1
trauma center with over 800 beds, including a 60 bed
neonatal intensive care unit
• Virginia Tech Carilion School of Medicine and Research
Institute and Jefferson College partners
• 600 physicians representing 60 specialities
Clinic Overview
Two types of clinics
Carilion Clinic Practioners – non-profit and 340B
Carilion Medical Group – for profit
Central Pharmacy Warehousing
• Clinic ordering process
–Requisition specific to each clinic
location- preset list with par levels
–Single purchaser at each location with
approval levels above
–Orders filled and delivered Monday
through Friday based on clinic specific
delivery schedules
SAMPLE REQUISITION FORM
Carilion Orthopedic Clinic
4064 Postal Drive
Drug Name
Medications supplied by Carilion Pharmacy #AR2488511
1906 Belleview Blvd., Roanoke, VA
NDC
ITEM #
CORTISONE CREAM 1 OZ
00472-0339-56 933622
LIDOCAINE 2% W/EPI 30 ML
00409-3182-02 154450
KENALOG 40 MG/ML 1 ML VL
00003-0293-05 059634
KENALOG 40 MG/ML 10 ML VL
00003-0293-28 059568
DEXAMETHASONE 30 ML
63323-0165-30 052712
GEBAUER ETHYL CHLOR SPRAY
00386-0008-02 036677
LIDOCAINE 1% 20 ML
00409-4276-01 377903
MARCAINE 0.5% 10 ML
00409-1560-10 172916
MARCAINE 0.5% 50 ML
00409-1610-50 172080
TETANUS TOXOID (10 PACK)
49281-0291-83 541262
SILVER NITRATE APP
12870-0001-01 600742
TRIPLE ANITBIOTIC OINT (144 PER PK)
45802-0061-70 293068
PDM
Min
Max
Cost Center 01123597
Date:______________________
Quantity Req.
1541
42
1118
SPECIAL NOTES:
Contact Person:_________________________
Pharmacist:____________________________
Phone Number:_________________
Fax to 540-224-3044
before 12:00 noon for next day delivery
Purchasing Process
• CCP
Full pack quantity:
– Primary purchasing through wholesaler
– Orders shipped to warehouse and redistributed to each location
Partials
CARILION MEDICAL GROUP
• General distributors or physician clinic specific
distributors- both contracted with Carilion
• Direct from manufacturer
• Specific accounts set up for each location
• All orders placed centrally
Routine Visits/Inspections
• JACHO inspections for CCP clinics
– Every 30 days
– Par levels/expiration dates checked
– Carilion Clinic policies are enforced
– July 1, 2010 – all samples removed
DELIVERY
• Internal Carilion logistics
–Daily deliveries available
–Minimum controlled substances
(CSOR or 222)
SUMMARY
Communication is a MUST
– Recalls and shortages
WHY Centralize clinic buying?
 Standardization
 Cost effective
 Multiple people
 Multiple locations
 Best pricing
 Minimum/maximum par levels
 340B vs NON